Provider Demographics
NPI:1649261397
Name:BESSEL, CYNTHIA G (DDS)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:G
Last Name:BESSEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 - 48 LITTLE NECK PARKWAY
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11004
Mailing Address - Country:US
Mailing Address - Phone:718-347-6366
Mailing Address - Fax:718-347-3875
Practice Address - Street 1:7148 LITTLE NECK PKWY
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11004-1127
Practice Address - Country:US
Practice Address - Phone:718-347-6366
Practice Address - Fax:718-347-3875
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0379111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00898848Medicaid